首页> 中文期刊> 《中国妇幼健康研究》 >孕妇空腹血糖影响因素4724例分析

孕妇空腹血糖影响因素4724例分析

         

摘要

Objective To screen and understand the level of fasting blood glucose in pregnant women , so as to provide basis for health guidance on blood glucose control in pregnancy .Methods Pregnancy examination data of 4 724 pregnant women visiting the out-patient clinic of Anqing Municipal Maternity and Child Health Hospital for the first time were collected , and the fasting blood glucose level of them was analyzed.Results The mean level of fasting blood glucose was 4.59 ±0.01 mmol/L, ranging from 2.65mmol/L to 12.20mmol/L. There were significant differences in mean level of fasting blood glucose among patients of different age , gestational age and BMI ( F value was 17.082, 3.734 and 32.879, respectively, all P<0.05).Factor analysis showed that the contribution rate of age , gestational weeks and BMI was 44.94%, 35.31% and 19.75%, respectively.Conclusion Monitoring and screening of blood glucose during pregnancy should be strengthened , and the related factors should be controlled in order to avoid adverse pregnancy outcomes .%目的:筛查并了解孕妇空腹血糖的水平,为妊娠期血糖控制提供保健指导依据。方法收集安庆市妇幼保健所门诊首次产检的4724例孕妇的孕检资料,对其空腹血糖水平进行分析。结果4724例孕妇中,空腹血糖最小值为2.65mmol/L,最大值为12.20mmol/L,平均水平为(4.59±0.01)mmol/L。不同年龄、不同孕周、不同身体质量指数孕妇血糖平均值比较差异均有统计学意义(F值分别为17.082、3.734、32.879,均P<0.05);将年龄、孕周、BMI进行因子分析,各因素对血糖贡献率:年龄为44.94%,孕周为35.31%,BMI值为19.75%。结论应加强妊娠期血糖的监测和筛查,控制引起孕妇血糖升高的相关影响因素,避免不良妊娠结局。

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